Introduction: Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option. Methods: The study is a double blind randomized control trial. the study will include the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident.
Introduction: Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option. Methods: The study is a double blind randomized control trial. the study goal is to examine the effect of acupuncture on patients with chest trauma. the study will include totally 72 patients and divide them to two group; the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident. Follow up time will be 3 months. Expected outcome: The results of this study can potentially provide a simple and cost effective provide analgesic solution to blunt chest trauma patients. The study design can serve as supporting evidence for future double blind studies in acupuncture. Other information: The study will be conducted in thoracic surgical department and acupuncture department in China medical university hospital, Taichung, Taiwan. The study is conducted on blunt chest injury patients and is anticipated to have minimum risk for adverse events. Enrollment of the patients and data collection will start after March 2020. The study expected completion time will be March 2022. Keywords: blunt chest trauma, acupuncture, press tack needle, rib fracture
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
72
PYONEX Φ0.20×0.6 mm made by Seirin Corporation
PYONEX placebo sticker made by Seirin Corporation
Out-Patient Clinic of China Medical University Hospital
Taichung, Taiwan
Numerical Rating Scale (NRS) - rest
pain scale form 1-10 when 10 is the most painful
Time frame: 3 months
Numerical Rating Scale (NRS) - mobile
pain scale form 1-10 when 10 is the most painful
Time frame: 3 months
Visual Analogue Pain Scale (VAS)
Pain scale form 1-10 when 10 is the most painful
Time frame: 4 days
Face Rating Scale (FRS)
Face expression pain scale. scores form 0-5 when 5 is the most painful
Time frame: 4 days
Flow meter
Measure the amount of air the patient can exhale, It has three chambers with their own balls that requires air pressures from 600-1200 cc per second. 1200cc is the highest score and indicates good exhalation
Time frame: 4 days
Verran and Snyder-Halpern sleep scale
includes 15 question on the patients sleep quality, each question has a 100mm line. Patients will raking each question 0-100 when 100 means no existing insomnia
Time frame: 4 days
Chest plain film
Chest X-ray, will help examine the number of rib fractures, the incidence of hemothorax and pneumothorax
Time frame: 4 days
Pain killer or muscle relaxant medication does used
We will measure the amount of analgesic or muscle relaxant medication each patient used
Time frame: 4 days
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